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NW Washington | Here is some AI info on this subject. In briefly reading stuff on the web, people have more problems with nickel and cobalt than with titanium. The doctor could do a sensitivity test to determine if she reacts to these metals. My MIL had issues with a knee replacement years ago, and it seems that was a problem with some glue or something they used.
"An allergic reaction to a metal joint implant is a rare but possible issue, presenting as joint pain, swelling, stiffness, or skin reactions, though it's difficult to definitively diagnose and distinguish from other implant complications. Symptoms may arise from common implant metals like cobalt, nickel, and chromium, and can be a Type IV delayed hypersensitivity reaction. If you suspect a reaction, contact your surgeon, as identifying the allergy and choosing an immunologically inert implant may be necessary.
What to Look For
Joint symptoms: Increased pain, swelling, stiffness, and limited range of motion.
Skin reactions: Itching, rash, or skin discoloration near the implant site.
Other symptoms: While rare, systemic reactions like chronic fatigue or cognitive impairment have been suggested.
Common Metals and Cause of Reactions
Nickel, cobalt, and chromium:
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These metals, often found in alloys used in joint replacements, are common culprits for Type IV delayed hypersensitivity reactions.
Metal ion release:
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A poorly functioning implant can release more metal ions into the surrounding tissues, which can trigger an inflammatory response.
Diagnosis and Treatment
Consult your surgeon:
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If you experience symptoms, contact your surgeon to discuss your concerns.
Eliminate other causes:
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It is essential to rule out other potential causes for the symptoms, such as infection or implant loosening.
Patch testing:
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This skin test may be used to screen for hypersensitivity, though it has limitations.
Revision surgery:
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In rare cases, a revision surgery to replace the implant with a different, non-allergenic material may be necessary, though this is usually a last resort. " | |
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